Jill Marie Hennessy, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME53383 Issued in FL

Practice address

2001 Webber St
Sarasota, FL 34239-5288

Phone

(941) 362-8900

Fax

(941) 362-8987

NPI assigned

Aug 24, 2005

Last updated

Feb 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Clack Spencer White & McCormack PA

  dba Sarasota Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Sarasota, FL
  • NPI 1265494702

  Cytopathology

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1861485922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WEBBER ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395288",
            "telephone_number": "941-362-8900",
            "fax_number": "941-362-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WEBBER ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395288",
            "telephone_number": "941-362-8900",
            "fax_number": "941-362-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "ME53383",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME53383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372532400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip D Hendra, LMHC
• Leslie Hendricks
• Wesley Aaron Hendricks, DO
• Belle G. Heneberger, LMHC
• Stacey Suzanne Heney, L.M.T. N.M.T.
• Gyvalia Henry
• Mitchell Raymond Henry, PT
• Tyler Duane Henry
• Brandilynn Hensel, PHARM.D.
• Henson Cardiology and Internal Medicine

• Anatomic Pathology & Clinical Pathology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.